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Test Request Form (TRF) - Student Section

This form is an official request by students for test proctoring to be conducted by the Center for Academic Success (CAS) on behalf of a student's home campus. We are located in Building III, first floor, in the Office of Student & Academic Services (SAS) suite.

For additional information or questions about test proctoring please e-mail us at usg-disAbility@umd.edu or call 301.738.6315.

USG ID # *

Student Name *

Student Contact Email *

Student Contact Phone *

Home Campus *

Course Name and Number *

Example: MATH 123

Instructor Name *

Instructor E-mail *

Exam Details

Date Requested for Exam *

Year

Month

Day

Test proctoring is available during regular business hours, Monday to Friday, 9:00am-5:00pm. For students with classes that meet outside these hours, please make arrangements with CAS and your instructor to administer your test during regular business hours

Time of Day Requested for Exam *

Hour

:

Minute

Exam should be scheduled at the same time as the rest of the class.

Does CAS have a copy of your official Accommodations Letter on file? Note: it is not sufficient for your home institution to have this letter, CAS also needs a copy. If we do not have one, you will need to provide one before we can accept your request.